Académique Documents
Professionnel Documents
Culture Documents
Senior Instructor at the University of Colorado Health Science Center Director of Psychology at the Sie Center for Down Syndrome Children's Hospital Colorado
None
List 3 areas of difficulty typically experienced by children with Down Syndrome } Identify 2 strategies used to manage problematic behaviors of children with Down Syndrome } Understand the difference between antecedent, behavior, and consequence
}
Behaviors that result in } Self-injury or injury of others } Causes damage to the physical environment } Interferes with the acquisition of new skills } And/or socially isolates the learner
}
Running Away/Wandering from Caregivers } Struggles with Following Directions or Stubbornness } Attention Issues } Social Withdrawal } Noncompliance with use of Adaptive Tools } Compulsive Behaviors or Hyperfocus } Hitting, Kicking, Physical Aggression } Yelling, Cursing, Inappropriate Language
}
Antecedent
Response
Consequence
Avoidance/Escape
Pain/Discomfort Interaction Environmental Factors (i.e. boredom, overstimulation, difficult work)
Acquisition
Attention/Interaction Desired Item Sensory Input Relief
Events that occur at one point in time that may change the likelihood of a targeted behavior at a later point in time by momentarily altering the value of the consequence. Feeley and Jones, 2008
Medical Issues
Vision and Hearing Deficits Thyroid Function Celiac Disease Sleep Apnea Reflux Constipation Depression Anxiety
Skill Deficits
Sensory
Sensory
Antecedent Strategies
Prespecified reinforcer Preferred item as a distractor Offer a choice High probability request sequence
Offer of collaboration Learn by doing Use first do this, then get that directions and schedules Highlighting (giving social praise) appropriate behaviors Tell them what to do instead of what not to do Cause-and-effect planned ignoring: First get calm, then I will talk with you
Consequence Strategies
Differential reinfiorcement of the ommision of behaviors Token System Error correction- Try again with demonstration Visual road map
Observed Behavior
The important point is that difficult behaviors do not occur by accident, or because someone has a disability. Difficult behaviors are expressions of real and legitimate needs. All behavior, even if it is self-destructive, is meaning-full. David Pitonyak, PhD Blacksburg, VA Down Syndrome News